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Rhythmic Gymnastics

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New Child

Existing Member

Make-up Class

Child Registration Form

1. Primary contact information

Parent(legal guardian) first name

Primary contact email

Parent(legal guardian) last name

Primary contact phone

Primary contact street address

2. Secondary contact information

First name

Email

Last name

Phone

Relationship to child

Please enter the existing member details

Member first name

Member last name

Member birthday * required

Registration reason

Comments

Please enter the existing member details

Member first name

Member last name

Member birthday * required

Missed day of practice * required

Make-up class time

Comments

13645 NE 126th PL, Kirkland, WA 98034

info@etuderg.com

Official USA Gymnastics Club

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